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Research ArticleProstacyclin Synthase: Upregulation duringRenal
Development and in Glomerular Disease as well as ItsConstitutive
Expression in Cultured Human Mesangial Cells
Thomas Klein,1,2 Günther Klaus,1 and Martin Kömhoff1
1Department of Pediatrics, University of Marburg, 35043 Marburg,
Germany2Boehringer Ingelheim, Pharma Division Research, 88397
Biberach, Germany
Correspondence should be addressed to Martin Kömhoff;
[email protected]
Received 7 August 2014; Revised 2 December 2014; Accepted 3
December 2014
Academic Editor: Aihua Zhang
Copyright © 2015 Thomas Klein et al. This is an open access
article distributed under the Creative Commons Attribution
License,which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly
cited.
Prostacyclin (PGI2) plays a critical role in nephrogenesis and
renal physiology. However, our understanding of how
prostacyclin
release in the kidney is regulated remains poorly defined. We
studied expression of prostacyclin synthase (PGIS) in developingand
adult human kidneys, and also in selected pediatric renal diseases.
We also examined PGI
2formation in human mesangial
cells in vitro. We observed abundant expression of PGIS in the
nephrogenic cortex in humans and in situ hybridization revealedan
identical pattern in mice. In the normal adult kidney,
PGIS-immunoreactive protein and mRNA appear to localize to
mesangialfields and endothelial and smooth muscle cells of arteries
and peritubular capillaries. In kidney biopsies taken from
pediatricpatients, enhanced expression of PGIS-immunoreactive
protein was noted mainly in endothelial cells of patients with
IgA-nephropathy. Cultured human mesangial cells produce primarily
PGI
2and prostaglandin E
2, followed by prostaglandin F
2𝛼
Cytokine stimulation increased PGI2formation 24-fold. Under
these conditions expression of PGIS mRNA and protein remained
unaltered whereas mRNA for cyclooxygenase-2 was markedly
induced. In contrast to its constitutive expression in vitro,
renalexpression of prostacyclin-synthase appears to be regulated
both during development and in glomerular disease. Further
researchis needed to identify the factors involved in regulation of
PGIS-expression.
1. Introduction
Prostacyclin synthase (PGIS) is an atypical cytochromep450
enzyme [1], which generates prostacyclin (PGI
2) from
prostaglandin H2(PGH
2), provided by cyclooxygenase-1
(COX1) or COX2. Prostaglandin-I synthase is expressed
con-stitutively, consistent with its TATA-less and GC-rich
pro-moter [2]. Modulation of constitutive expression with
strongupregulation has been observed in uterine development
[3].However, in vitro studies have failed to identify specific
fac-tors that induce consistently PGIS-protein expression.
Pros-tacyclin, which has a half-life of 30 sec in vivo, activates
ade-nylate cyclase through interaction with its
G-protein-coupledreceptor, dubbed IP [4]. In contrast to certain
syntheticand stable prostacyclin analogues, known to activate
thenuclear receptor peroxisome proliferator-activated receptor,
𝛽/𝛿 (PPAR-𝛽/𝛿) [5], there remains controversy over whetherthis
is also true for endogenous prostacyclin [6, 7].
Development of severe glomerular, vascular, and inter-stitial
abnormalities in PGIS-knockout-mice only serves toconfirm the
critical role that prostacyclin plays in normalrenal development
[8]. Such defects are not observed in theIP-knockout-mice [9],
fitting with the notion of a secondPGI2-receptor, possibly
PPAR-𝛽/𝛿. Numerous glomerular
actions of PGI2have been reported, including effects on
local hemodynamics, renin secretion, cell proliferation,
andmatrix turnover [4].The potential beneficial effects of
varioussynthetic ligands on slowing progression of renal disease
havebeen observed in experimental animal models as well as inhumans
[4].
Despite the fact that prostacyclin has been shown to playseveral
roles in the kidney, the pattern of PGIS expression in
Hindawi Publishing CorporationMediators of InflammationVolume
2015, Article ID 654151, 9
pageshttp://dx.doi.org/10.1155/2015/654151
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2 Mediators of Inflammation
humans during renal development and in glomerular diseaseis
virtually unknown. There are also few studies describingthe in
vitro expression of prostacyclin synthase. In humanendothelial
cells, biosynthesis of prostacyclin is controlledprimarily through
the induction of cyclooxygenase by growthfactors or mitogens
whereas expression of PGIS remainsunchanged [10]. Others have shown
that bovine endothelialcells translate tumour necrosis factor (TNF)
binding into anincrease of COX2 enzyme expression and subsequently
intothe induction of prostacyclin synthase mRNA [11].
Finally,incubation of human endothelial cells with acidic
fibroblastgrowth factor in the presence of heparin resulted in
amarked diminution in PGI
2synthesis caused by a decrease in
expression of both prostacyclin synthase and
cyclooxygenaseprotein [12].
Most studies that have reported on prostacyclin synthesisin the
scientific literature have focused on expression andregulation of
cyclooxygenases, the enzymes that providePGH2and thus
cyclooxygenases are considered to be the
rate-limiting step during prostanoid synthesis. Two isoformsof
cyclooxygenase have been identified: a constitutive COX1that is
thought to be involved in housekeeping functions ofprostaglandins
and an inducible COX2 that is believed to beinvolved in the
synthesis of high amounts of prostaglandinsunder pathological
conditions [13].
The present series of studies were conducted under vari-ous
different circumstances in order to gain further insightinto the
regulation of prostacyclin synthase. We analyzedthe mRNA and
protein expression of prostacyclin synthasein normal “developing”
and adult human kidneys, as wellas in glomerular disease. We also
investigated prostacyclinsynthesis and synthase in human mesangial
cells in vitro.
2. Material and Methods
Thecurrentworkwas conductedwith permission of our insti-tution’s
local medical ethics committee. During the courseof normal clinical
practice, renal tissue was obtained fromthe unaffected poles of
kidneys surgically removed as partof treatment of renal carcinoma
(𝑛 = 5 patients). Humanfetal tissuewas collected frommedical
abortions [14]. Unusedparaffin-embedded renal biopsy tissue samples
remainingafter sectioning were also identified for study. In total
21patients, 12 patients with IgA-nephropathy, seven
patientsundergoing routine renal biopsy, one patient with
chronicrenal transplant rejection, and one patient with focal
seg-mental glomerulosclerosis provided consent for their
biopsysamples to undergo the study.
2.1. Immunohistochemistry of Paraffin-Embedded AdultHuman Tissue
and Renal Biopsies. Specificity of all primaryantibodies has been
rigorously tested and confirmed by colo-calization studies of the
respective mRNA using radioactivein situ hybridization [15, 16].
Sections were incubated withrabbit anti-PGIS polyclonal antibodies,
as described previ-ously [16]. Primary anti-cyclooxygenase
antibodies wereobtained from Santa Cruz (Santa Cruz, CA: COX1,
C20:sc#1752, and COX2: C-20, sc#1745).
2.2. Immunohistochemistry of Human Fetal Tissue. The
char-acterization of the monoclonal antibodies for
prostacyclinsynthase has been published previously [17]. In brief,
approx-imately 5 𝜇m tissue sections were sliced from
snap-frozensamples, thaw-mounted on poly-L-lysine-coated glass
slides,air-dried, and fixed in acetone for 10min at 4∘C.The
presenceof primary antibodies was confirmed with the alkaline
phos-phatase antialkaline phosphatase method using rabbit
anti-mouse or mouse anti-rabbit antibodies.
2.3. Generation of 35S-Labelled Riboprobes and In
SituHybrid-ization. Antisense and sense probes for human
prostacy-clin mRNA were prepared as follows. A polymerase
chainreaction (PCR) fragment (420 base pairs) generated
theamplification of mesangial mRNA with the primer pairdepicted
below that was ligated and cloned in a pCR 2.1 plas-mid
(Invitrogen, USA). The following primers were used togenerate
amurine-PGIS riboprobe: forward-GGCTGGCTG-GGTTGAGAATC and
reverse-GACCGTGCGAAGGTT-GGTAT. Cloned cDNA fragments were sequenced
accordingto the dideoxy method to confirm the identity and
orienta-tion of the inserts. In situ hybridization was performed
asdescribed previously [16]. After development in Kodak D-19,
slideswere counterstainedwith hematoxylin. Photomicro-graphs were
taken with a Zeiss Axioskop microscope usingbright field
optics.
2.4. Human Mesangial Cells. Normal human kidney tissuewas
obtained from tumor nephrectomy surgery. Glomeruliwere obtained
from different donors by passage throughserially graded sieves and
incubated in growth mediumwhich consisted of RPMI-1640 supplemented
with insulin(5 𝜇g/mL), transferrin (5 𝜇g/mL), sodium selenite (5
𝜇g/mL),L-glutamine (1%), penicillin (100U/mL), and streptomycin(100
𝜇g/mL) containing 10% fetal calf serum and HEPES(20mM). Cellular
outgrowths of mesangial appearance weresubcultivated and
characterized as follows: (a)morphologicalcriteria with elongated
appearance; (b) staining with antivi-mentin; (c) staining with
smooth muscle cell actin; and (d)absence of staining with
anti(factor VIII) and antidesmin.Cells were grown to confluence and
growth was arrested bylow serum conditions (0.5% fetal calf serum)
in the absenceof supplements for 24–36 h. All experiments were
performedusing cells between the third and sixth passages.
2.5. Cell Culture. Cell culturemedia were obtained
fromPAA(Coelbe, FRG). Recombinant human (rh) interleukin (IL)types
1𝛽 IΛ-1𝛽 and rh-TNF𝛼were purchased from Endogene(MA, USA). A
commercial enhanced chemiluminescencedetection kitwith
nitrocellulosemembranes (Hybond-C)wasobtained from Amersham
(Braunschweig, FRG). Diclofenacand bovine serum albumin were from
Sigma (Deisenhofen,FRG). Primers were synthesized by MWG-Biotech
(Ebers-berg, FRG);AmpliTaq polymerasewas obtained fromPerkin-Elmer
(Weiterstadt, FRG) and SuperScript reverse transcrip-tase from
GIBCO (Eggenstein, FRG). Insulin, transferrinsupplements, and
recombinant human interferon (IFN)type-𝛾 rh-IFN-𝛾 were from
Boehringer (Mannheim, FRG).
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Mediators of Inflammation 3
(a) (b)
(c) (d)
Figure 1: Mesenchymal expression of prostacyclin synthase in the
developing human (24 weeks of gestation) and murine (postnatal day
0)kidney. (a) shows a low power view of a developing human kidney.
(b) High power reveals absence of PGIS in epithelial structures.
(c) Lowpower shows high subcapsular expression of PGIS-mRNA. (d)
confirms the absence of labeling over epithelial structures.
Primary antibodies to characterize cellular cultures
wereobtained from Dako (CA, USA); secondary antibodies werefrom
Dako and Dianova (Hamburg, FRG).
2.6. Western Blot and mRNA Analysis. Analysis of prosta-cyclin
synthase expression was performed on human mesan-gial cells. In
brief, lysates (80𝜇g) of cells stimulated for20 h with rh-TNF𝛼 (100
ng/mL), IFN-𝛾 (350U/mL), IL-1𝛽(1 nM), or control were solubilized
in phosphate bufferedsaline containing 1% Triton X-100. Equal
amounts of pro-tein were separated by 10% SDS-PAGE. Immunoblot
anal-ysis was performed with different purified polyclonal
anti-bodies against PGIS as described previously [17]. Total RNAwas
isolated frommesangial cells using the guanidinium thi-ocyanate
method with acidic phenol. Reverse transcriptionand PCR were
performed as described recently for COX1,COX2, 𝛽-actin, and
thromboxane synthase. Accordingly, forprostacyclin synthase, 1 𝜇g
of total RNA was used for target-specific reverse transcription
with reverse transcriptase andthe primer
(5-ATGCGGTAGCGGACGACGGGCACG-3).Polymerase chain reaction
amplification was performed
using the cDNA with the antisense
(5-ctgcatcagaccgaagccctacctg-3) and sense primer
(5-TGCTGAGTGAGAGCC-TCAGGCTTA-3). Reactions were cycled 30 times (30
secat 94∘C, 30 sec at 56∘C, and 30 sec at 72∘C following a
5mindenaturing step at 95∘). Amplification productswere analyzedby
1.5% agarose gel electrophoresis and ethidium bromidestaining. The
identity of the fragments was evaluated bytheir molecular mass and
dideoxy sequencing. Samples wereassayed at various dilutions to
ensure proportionality in theyield of PCR products.
Determination of prostanoids by gas chromatography isas follows.
Prostanoids in the supernatant of mesangial cellswere measured by
gas chromatography coupled to dual massspectrography (GC/MS/MS) as
described previously [18].
3. Results
3.1. Intrarenal Localization of Prostacyclin Synthase
Nephrogenesis. In the developing human kidney, intenseexpression
of PGIS was observed in mesenchymal cells ofthe nephrogenic cortex
(Figure 1(a)). Epithelial structures
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4 Mediators of Inflammation
(a) (b)
(c) (d)
Figure 2: PGIS mRNA localizes to mesangial fields ((a), arrow)
and endothelial cells of an interlobar artery ((b), arrow).
Expression of PGISprotein and mRNA in normal adult kidney. (c) Low
power view shows expression of PGIS in endothelial and smooth
muscle cells of anarcuate artery (arrow). (d) shows expression of
PGIS in cells of the juxtaglomerular apparatus (arrow), adjacent to
the macula densa.
corresponding to various stages of renal development andtubular
structures were not labeled (Figure 1(b)). An identicalpattern was
observed when analyzing prostacyclin synthasemRNA expression in the
mouse (Figure 1(c), low powerview). In situ hybridization revealed
strong cortical labelingin kidneys on postnatal day 0. Within the
exception ofvascular structures, medullary areas showed
significantly lesslabeling. High power views confirmed labeling
over intersti-tial cells and sparing of epithelial structures
(Figure 1(d), highpower view).
Normal Adult Kidney. Radioactive in situ hybridizationrevealed
specific signals for prostacyclin synthase in themesangial region
of glomeruli (Figure 2(a)) and over arterialendothelial cells
(Figure 2(b)). As expected from biologicaland pharmacological
studies, PGIS immunoreactivity wasdetected in endothelial cells of
blood vessels (Figure 2(c)) ofnormal kidney as well as in the
smooth muscle cells of arter-ies. Staining of PGIS in the
glomerulus was comparativelylow in normal human tissue. Note PGIS
immunoreactivity incells of the juxtaglomerular apparatus adjacent
to cells of themacula densa (Figure 2(d)).
Pediatric Renal Disease. Glomerular expression of
PGIS-immunoreactive protein varied considerably in tissues
fromchildrenwith renal disease ranging from completely absent
tostrong and localized primarily to endothelial cells.
However,there was no evidence that would link expression with
aparticular disease. Shown are high power views fromapatient
with IgA-nephropathy (Figure 3(a)), minimal change diseasewith
focal segmental glomerulosclerosis (Figure 3(b)), andchronic
transplant rejection (Figure 3(b)). Strong capillaryexpression of
prostacyclin synthase in renal medulla wasobserved in the same
biopsy (Figure 3(d)).
3.2. Prostacyclin Synthesis in Cultured HumanMesangial Cells
In Vitro Studies. The profile of prostanoid synthesis inour
cultured human mesangial cells (HMCs) is shown inFigure 4. Under
basal conditions, mesangial cells producedpredominantly PGI
2determined as 6-keto-PGF
1𝛼, the pri-
mary product of PGI2metabolic breakdown. Considerably
smaller amounts of PGE2and PGF
2𝛼 were observed and
thromboxane (TX) type B2, the stable product of Tx type
A2, was only barely detectable. Incubation of
growth-arrested
HMC from different donors with cytokines consisting ofIL-1𝛽 (1
nM), TNF𝛼 (10 ng/mL), and IFN-𝛾 (250U/mL)resulted in increased
expression of prostacyclin (24-fold) andPGE2(65-fold). There was no
apparent change in TxB
2and
PGF2𝛼 production. Coincubation of stimulated HMC with
the nonsteroidal anti-inflammatory drug, diclofenac
(1𝜇M),resulted in a complete inhibition of prostanoid synthesis.In
contrast, addition of the glucocorticoid dexamethasone(1 𝜇M)
lowered cytokine-stimulated prostaglandin produc-tion to the same
levels as seen under control conditions. Theprofile of exogenously
added arachidonic acid metabolismis shown in Table 1. In a
concentration-dependent manner,
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Mediators of Inflammation 5
(a) (b)
(c) (d)
Figure 3: Expression of prostacyclin synthase in various renal
diseases. (a) IgA-nephropathy, (b) focal segmental
glomerulosclerosis.Glomerular (c) and medullary (d) expression of
PGIS in endothelial cells and peritubular capillaries in a
transplanted kidney with chronicrejection.
###
ns ns
###ns ns
# ns
6-KetoPGE2
TxB2
0
500
20000
10000
1000
30000
CytokinesControl Cyto. +diclo. Cyto. +dex.
Pros
tano
ids (
pg/106
cells
)
∗∗∗
∗∗∗
######
PGF2𝛼PGF1𝛼
Figure 4: Pattern of COX1- and COX2-dependent
prostanoidformation of human mesangial cells. HMCs were incubated
for20 h with cytokines in the absence or presence of diclofenac(1
𝜇M), dexamethasone (1 𝜇M), or vehicle. Prostanoid
formationwasmeasured in the supernatant. Data represent means
(pg/106 cells) ±SEM (𝑛 = 5). One-way analysis of variance
Bonferroni’s multiplecomparison test was performed for each
product. ∗∗∗𝑃 < 0.001versus control; ###𝑃 < 0.001 and #𝑃 <
0.05 versus cytokines; ns:nonsignificant.
conversion to prostacyclin and PGE2occurs. Once again,
the levels of TxB2and PGF
2𝛼, prostanoids known to exert
vasoconstrictive actions, were hardly detectable, even whenthe
HMCs were challenged with arachidonic acid (20 𝜇M).
To gain further insight into the regulation of prosta-cyclin
synthase activity following cytokine stimulation, thecyclooxygenase
step was bypassed by the addition of exoge-nous PGH
2, the immediate substrate for PGIS. As can be
seen from the data in Table 2, compared to control, therewas no
significant difference in the conversion of PGH
2to 6-
keto-PGF1𝛼 in any of the cytokine or glucocorticoid treated
samples.These data point towards a constitutive activity of
prosta-
cyclin synthase. To investigate this aspect at the protein
level,Western blot analysis was performed using cell lysates
ofcytokine treated HMC or controls. The authenticity of theobserved
single band of approximately 52 kD was evidencedusing the purified
bovine enzyme as a positive control(Figure 5(a)).
Similar results, confirming the constitutive nature of
theenzyme, were obtained addressing the corresponding
mRNAexpression (Figure 5(b)).Messenger RNAexpression for bothPGIS
and COX1 was unaffected by cytokine stimulation,whereas expression
of COX2 mRNA was markedly induced.
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6 Mediators of Inflammation
Table 1: Prostanoid formation of cytokine-stimulated HMC from
different concentrations of exogenously added arachidonic acid.
6-Keto-PGF1𝛼 PGE
2TxB2
PGF2𝛼
AA (0 𝜇M) 242 ± 42∗∗∗ 78 ± 8∗∗∗ 96 ± 7ns 40 ± 13ns
AA (2 𝜇M) 6590 ± 300∗∗∗ 6120 ± 370∗∗∗ 110 ± 7ns 560 ± 6.6ns
AA (5 𝜇M) 11350 ± 250∗∗∗ 10390 ± 610∗∗∗ 83 ± 7ns 116 ± 7ns
AA (20 𝜇M) 14800 ± 100∗∗∗ 13500 ± 200∗∗(a) 100 ± 24ns 226 ±
40∗∗(b);##(c)§(d)
HMC were stimulated with cytokines for 20 h and later they were
incubated with the depicted concentrations of exogenous arachidonic
acid (AA) or onlybuffer (0 𝜇M) for 15min at 20∘C. Prostaglandins
generated were extracted from the supernatant as described and
analyzed by GC/MS/MS method. Valuesare depicted as means ± SEM
(pg/106 cells) of three experiments. One-way analysis of variance
Bonferroni’s multiple comparison test. ∗∗∗𝑃 < 0.001 for
allcombinations. (a)∗∗𝑃 < 0.01 for 5 𝜇Mversus 20 𝜇M; (b)∗∗𝑃 <
0.01 for 0 𝜇Mversus 20 𝜇M; (c)##𝑃 < 0.01 for 2 𝜇Mversus 20𝜇M,
and (d)§𝑃 < 0.05 for 5 𝜇Mversus20𝜇M; ns: not significant.
Table 2: Conversion of the precursor endoperoxide PGH2to 6-
Keto-PGF1𝛼 in the presence of cytokines or dexamethasone.
6-Keto-PGF1𝛼 (ng/106 cells)
Control 197 ± 14Cytokines 139 ± 10∗
Cytokines + dexamethasone (1mM) 144 ± 7∗
HMC were stimulated for 20 h with cytokines, cytokines plus
dexametha-sone, or vehicle. Following stimulation, the medium was
aspirated and thecells were stimulated for 5min at 20∘C with
20𝜇MPGH2 in phosphatebuffered saline. The spontaneous decay of PGH2
in aqueous solution from acontrol experiment was considered. The
figure consists of the mean of threeexperiments ± SEM. One-way
analysis of variance Bonferroni’s multiplecomparison test: ∗𝑃 <
0.05 versus control.
Interestingly, RT-PCR analysis failed to detect mRNA forTXS and
suggested a negligible role for TxA
2as mesangial
cell derived prostanoid. The extensive increase of
induciblenitric oxide synthase mRNA under identical conditions
wasreported in HMC [19] and served as a control for
cytokineactivity.
4. Discussion
In the present study, it appear to be a strong expression ofPGIS
mRNA and immunoreactive protein in mesenchymalcells of developing
human and mouse kidney, respectively.The greatest expression
appeared to be subcortical, in themost immature part of the
kidneys, namely, the nephrogeniccortex, in mesenchymal cells
adjacent to ureteric buds. Previ-ously, the regulation of PGIS
expression during developmenthas been shown during uterine
development, with high levelsof expression occurring in the most
immature cells [3].The strong expression of PGIS suggests that
promoters ofPGIS gene expression that have yet to be identified
must beinvolved. Further studies, possibly including the
investigationof miRNAs as potential regulators, are needed to
identify themechanisms leading to the upregulation of PGIS
expression.Considering the multiple defects in renal development
inPGIS-ko mice, including increased interstitial fibrosis [3],leads
to speculation that prostacyclin plays an important rolein the
prevention of fibrosis and that this process may bemodulated via
PPAR-𝛽/𝛿 (given the normal renal phenotypein IP-ko-mice [9]).
Our study describes for the first time the
intrarenallocalization of prostacyclin synthase mRNA and
immunore-active protein in the healthy adult human kidney.
Expressionof PGIS mRNA and immunoreactive protein in
vascularstructures appears to confirm pharmacologic findings and
isconsistent with a role for prostacyclin as a vasodilator
andinhibitor of platelet activation [20]. Expression of PGIS inthe
juxtaglomerular apparatus is in accordance with prosta-cyclin as
mediator of renin release [21]. Expression of PGISmRNA and
immunoreactive protein was less prominentand discernible over
mesangial fields. The exact cellularlocalization (mesangial or
endothelial cells) could not beidentified. Consistent with previous
reports [22], there wasno observable tubular expression of PGIS.
This agrees withthe findings of earlier studies which did not show
a role ofendogenous prostacyclin on tubular transport [20].
We investigated whether PGIS, like other developmen-tally
regulated genes [23], is upregulated in glomerulardisease. We
observed variable degrees of PGIS expression inhuman kidney
disease, though the expression was frequentlyhigher than that seen
in samples from healthy tissue controls.The interpretation of these
observations was limited by thenumber of biopsies available for
study and the multipleunderlying diseases, precluding any
correlation of PGISexpression with a particular glomerulopathy.The
majority ofcases showed upregulation of PGIS in glomerular and
per-itubular endothelial cells, which suggests a common
inducer(Figures 3(a) and 3(b)). In some biopsies, however,
inter-(Figure 3(c)) and intraglomerular (Figure 3(d)) expressionwas
quite variable, possibly altered by local hemodynamics.Serial
sections stained for COX1 and COX2 (data not shown)did not reveal
coexpression with PGIS, arguing for differen-tial modes of
regulation (of COX1, COX2, and PGIS, resp.).As endothelial cells,
for instance, are known to synthesizeprostacyclin, absence of COX1
orCOX2 costainingwith PGISmay simply reflect high specificity and
reduced sensitivity ofour immunostaining procedure.
Our observations with cultured human mesangial cellsappear to
confirm that prostacyclin [24] is the predominantmesangial
prostanoid both under basal conditions and fol-lowing cytokine
stimulation. The increase in PGI
2synthesis
was mirrored by PGE2synthesis [24]. Similarly to PGI
2,
PGE2is a potent vasodilator, dependent on specific receptors
located on target cells.
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Mediators of Inflammation 7
94
67
43
(a)
COX1
Cyt Cyt Cyt Cyt Cyt CytCC C C C C C
500400300200100
COX2 TXS PGIS iNOS 𝛽-Act
(b)
Figure 5: (a) Western blotting of prostacyclin synthase in HMC.
Cell lysates (80𝜇g) of cytokine treated HMC or control were stained
witha polyclonal antibody for PGIS. Lane 1: control; lane 2:
cytokine stimulation; lane 3: positive control (partially purified
protein of bovinePGIS with a molecular mass of 52 KD); lane 4:
molecular marker. (b) mRNA analysis of prostanoid generating
enzymes and iNOS in HMC.RT-PCR analysis of the mRNA for COX1, COX2,
TXS, PGIS, and iNOS from quiescent human mesangial cells (2 × 106)
was treated for 20 hwith cytokines or vehicle. RNA preparation and
PCR analysis were performed as described inMaterial andMethods. A
100 bp ladder is givenon the right to evaluate the mass of the
amplified fragments.
Despite using highly selective and sensitive GC/MS/MS,we could
only detect trace amounts of the vasoconstrictingprostanoids,
TxA
2and PGF
2𝛼, from HMS. In contrast to
cytokine induced PGE2and PGI
2formation, we did not
observe changes in TxA2and PGF
2synthesis. There is evi-
dence that these prostanoids are predominately formed pro-ducts
of human glomerular epithelial cells (unpublishedobservations).
Thus, we suggest that the previously reported[25] formation of
TxA
2or PGF
2𝛼 from human mesangial
cells is possibly a consequence of contamination of theprevious
authors’ work with visceral epithelial cells. The pre-dominance of
the vasodilatory prostanoids PGE
2and PGI
2
suggests that mesangial prostanoid formation exerts a
tonicvasodilatory effect on the glomerular capillary network.
In a different set of experiments, we sought to betterunderstand
the mechanisms involved in cytokine inducedPGI2synthesis. Exposure
of HMC to cytokines resulted
in a 24-fold increase of PGI2synthesis, but there was no
evidence of PGIS mRNA and protein having been induced.In
contrast, there was a marked induction of COX2 mRNAand protein.
These results are in agreement with previousstudies [26] and
suggest that the limiting step in HMC-derived PGI
2synthesis is the regulation of COX2 expression.
To substantiate the concept that COX2 levels regulate
pros-tanoid synthesis in HMCs, we investigated the effect of
dex-amethasone on cytokine induced PGI
2prostaglandin forma-
tion. Dexamethasone is known to inhibit stimulated expres-sion
of both COX2 protein and mRNA through its action ontranscriptional
and posttranslational mechanisms. In cytok-ine-stimulated HMC,
dexamethasone repressed COX2mRNA and protein expression in parallel
with a decrease inprostanoid formation to levels seen inside
control. As dex-amethasone failed to affect expression of the PGIS
gene, ourdata appears to additionally support the concept that
COX2is the key step in controlling prostanoid formation in
HMCs.Exposure of cytokine-stimulated HMCs to the
nonsteroidalanti-inflammatory drug diclofenac, which inhibits
both
COX1 and COX2 activities, reduced prostanoid synthesis tolevels
below those seen in controls. These findings appear tosuggest that
COX1 contributes to basal HMC-derived pros-tanoid formation.
Accordingly, we also observed constitutiveexpression of COX1
mRNA.
Our data appear to be in contrast with the observationsmade in
bovine aortic endothelial cells, which has demon-strated the
upregulation of prostacyclin mRNA followingTNF𝛼 stimulation [11].
However, our findings are in linewith those from experiments
conducted in human venousumbilical endothelial cells [10].
Therefore, we propose thatcell-specific regulation of prostacyclin
synthase may occurunder certain conditions or that the apparent
difference infinding is a consequence of species differences. This
notionis a supported pattern of organization of the human
prosta-cyclin synthase gene, which was recently determined
anduncovered consensus sequences for Sp-1, Ap-2, and,
interest-ingly, NF-𝜅B in the promoter region [11]. NF-𝜅B is knownas
a transcriptional activator involved in the transmission
ofproinflammatory responses and could be a target for
PGIStranscriptional regulation. The signalling pathway
triggeringPGIS induction in human systems therefore seems to
bemorecomplex and may involve a complex cytokine network (ina
fashion similar to that recently proposed for nitric oxidesynthase)
or the presence of yet unknown mediators.
Nevertheless, our data appear to demonstrate clearly
thatregulation of PGI synthesis is regulated predominantly byCOX2
activity, which serves to provide PGH to the consti-tutively
expressed PGIS.
When considering our current findings in conjunctionwith what is
already known about prostacyclin synthase, itappears that our data
shows it to be under the influence ofa developmentally regulated
gene which is often reexpressedin glomerular disease. These in vivo
findings appear to be incontrast with the constitutive expression
of PGIS in primaryhuman mesangial cells. Nevertheless, our data
point to hith-erto unknown regulators of prostacyclin synthase
expression.
-
8 Mediators of Inflammation
Abbreviations
PGIS: Prostacyclin synthaseTXS: Thromboxane synthaseCOX:
CyclooxygenaseHMC: Human mesangial cellGC/MS/MS: Gas
chromatography/mass
spectrometryPPAR-𝛽/𝛿: Peroxisome proliferator-activated
receptor 𝛽/𝛿IgA-GN: IgA-nephropathyFSGS: Focal segmental
glomerulosclerosisPGI2: Prostaglandin I
2
PGH2: Prostaglandin H
2
TNT𝑥: Tumour necrosis factor type alpha
PCR: Polymerase chain reactionIL: InterleukinRh: Recombinant
human.
Conflict of Interests
The authors declare that there is no conflict of
interestsregarding the publication of this paper.
Acknowledgments
This study was supported by Stiftung P. E. Kempkes, Mar-burg
(19-2000 and 26-2001), and Deutsche Forschungsge-meinschaft (KO
1855/2-1) awarded to Martin Kömhoff. Theauthors would like to
thank Dr. M. D. Breyer and Dr. L. S.Davis (Vanderbilt University,
USA) for the expert advice onhow to perform in situ
hybridization.
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